Dr Kylie Anne Billingsley, PHD is a medicare enrolled "Psychologist - Clinical" provider in Redwood City, California. Her current practice location is
1400 Veterans Blvd, Redwood City, California. You can reach out to her office (for appointments etc.) via phone at
(650) 299-2000.
Dr Kylie Anne Billingsley is licensed to practice in California (license number PSY23167) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326232273.
Healthcare Provider's Profile
| Full Name | Dr Kylie Anne Billingsley |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1400 Veterans Blvd, Redwood City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326232273
- Provider Enumeration Date: 09/04/2007
- Last Update Date: 05/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 5799927992
- Enrollment ID: I20130819000544
Medical Identifiers
Medical identifiers for Dr Kylie Anne Billingsley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326232273 | NPI | - | NPPES |
| OPL231670 | Other | CA | BLUE SHIELD OF CA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY23167 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kylie Anne Billingsley allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kylie Anne Billingsley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kylie Anne Billingsley, PHD
1777 Borel Place, Suite 440,
San Mateo, CA 94402
Ph: (408) 857-5489 | Dr Kylie Anne Billingsley, PHD
1400 Veterans Blvd,
Redwood City, CA 94063
Ph: (650) 299-2000 |
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